A CASE OF PLACENTA ACCRETA WITH THE FORMATION OF A LARGE UTERINE HERNIA OF THE POSTERIOR WALL OF THE UTERUS
Main Article Content
Abstract
Placenta accreta (PAC) disorders occur when a mature placenta grows within a uterine scar. Although classically, placenta accreta with uterine hernia formation is mostly observed on the anterior wall of the uterus in the area of a cesarean section scar, in rare cases it can also develop in the posterior wall.
The aim of this article is to report a case of placenta accreta with the formation of a large uterine hernia located on the posterior wall of the uterus.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
1. White A, Malik M, Pruszynski JE, Do QN, Spong CY, Herrera CL. Contemporary Placenta Accreta Spectrum Disorder Incidence and Risk Factors. Obstet Gynecol. 2025; 145(6): 665-673. doi: 10.1097/AOG.0000000000005919
2. Shmakov RG, Pirogova MM, Vasilchenko ON, Chuprynin VD, Ezhova L.S. Surgery tactics for placenta increta with different depths of invasion. Obstetrics and Gynecology. 2020; 1: 78-82. Russian (Шмаков Р.Г., Пирогова М.М., Васильченко О.Н., Чупрынин В.Д., Ежова Л.С. Хирургическая тактика при врастании плаценты с различной глубиной инвазии //Акушерство и гинекология. 2020. № 1. С. 78-82.) doi: 10.18565/aig.2020.1.78-82
3. Amin MB, Greene FL, Edge SB, Compton CC, Gershenwald JE, Brookland RK, et al. The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more «personalized» approach to cancer staging. CA Cancer J Clin. 2017; 67(2): 93-99. doi: 10.3322/caac.21388
4. Kantsurova MR, Rymashevsky AN, Volkov AE. Rationale for application of a new compression suture to stop hypotonic haemorrhage in puerperant women. Siberian Medical Review. 2022; (4): 66-72. Russian (Канцурова М.Р., Рымашевский А.Н., Волков А.Е. Обоснование применения нового компрессионого шва для остановки гипотонического кровотечения у родильниц //Сибирское медицинское обозрение. 2022. № 4. С. 66-72.) doi: 10.20333/25000136-2022-4-66-72
5. Tskhai VB Hysterectomies in the early postpartum period: prevalence and risk factors. Practical medicine. 2025; 23(2): 21-25. Russian (Цхай В.Б. Гистерэктомии в раннем послеродовом периоде: распространенность и факторы риска //Практическая медицина. 2025. Т. 23, № 2. С. 21-25.) doi: 10.32000/2072-1757-2025-2-21-25
6. Barinov SV, Tirskaya YuI, Kadtsina TV, Lazareva OV, Chulovsky YuI, Yakovleva OA, Nadezhina ES. Possibility of gearing pregnancy after metroplasty performed for anomalies of placenta attachment. Mother and Baby in Kuzbass. 2024; 3(98): 50-57. Russian (Баринов С.В., Тирская Ю.И., Кадцына Т.В., Лазарева О.В., Чуловский Ю.И., Яковлева О.А., Надежина Е.С. Возможно ли вынашивание беременности после метропластики, выполненной по поводу аномалий прикрепления плаценты //Мать и Дитя в Кузбассе. 2024. № 3(98). С. 50-57.) doi: 10.24412/2686-7338-2024-3-50-57
7. Hu M, Lin L, Du LL, Yan ZP, Luo SJ, Sun W, et al. Impact of the number of cesarean deliveries on adverse pregnancy outcomes of cesarean section in a single-center cohort study. Zhonghua Fu Chan Ke Za Zhi. 2025; 60(6): 430-438. doi: 10.3760/cma.j.cn112141-20250121-00032
8. Ignatko IV, Bogomazova IM, Timokhina EV, Belousova VS, Fedyunina IA, Kardanova MA, et al. Placenta accreta: a modern view on etiopathogenesis and obstetric tactics. Obstetrics and Gynecology. 2024; 1: 5-11. Russian (Игнатко И.В., Богомазова И.М., Тимохина Е.В., Белоусова В.С., Федюнина И.А., Карданова М.А., и др. Врастание плаценты: современный взгляд на вопросы этиопатогенеза и акушерской тактики //Акушерство и гинекология. 2024. № 1. С. 5-11.) doi: 10.18565/aig.2023.251
9. Jauniaux E, Hussein AM, Elbarmelgy RM, Elbarmelgy RA, Burton GJ. Failure of placental detachment in accreta placentation is associated with excessive fibrinoid deposition at the utero-placental interface. Am J Obstet Gynecol. 2022; 226(2): 243.e1-243.e10. doi: 10.1016/j.ajog.2021.08.026
10. Jauniaux E, Jurkovic D, Hussein AM, Burton GJ. New insights into the etiopathology of placenta accreta spectrum. Am J Obstet Gynecol. 2022; 227(3): 384-391. doi: 10.1016/j.ajog.2022.02.038
11. Palacios‐Jaraquemada JM, D'Antonio F, Buca D, Fiorillo A, Larraza P. Systematic review on near miss cases of placenta accreta spectrum disorders: correlation with invasion topography, prenatal imaging, and surgical outcome. J Matern Fetal Neonatal Med. 2020; 33: 3377‐3384. doi: 10.1080/14767058.2019.1570494
12. Hussein AM, Elbarmelgy RA, Elbarmelgy RM, Thabet MM, Jauniaux E. Prospective evaluation of impact of post-Cesarean section uterine scarring in perinatal diagnosis of placenta accreta spectrum disorder. Ultrasound Obstet Gynecol. 2022; 59(4): 474-482. doi: 10.1002/uog.23732
13. White A, Malik M, Pruszynski JE, Do QN, Spong CY, Herrera CL. Contemporary Placenta Accreta Spectrum Disorder Incidence and Risk Factors. Obstet Gynecol. 2025; 145(6): 665-673. doi: 10.1097/AOG.0000000000005919
14. ADoPAD (Antenatal Diagnosis of Placental Attachment Disorders) study group. Risk factors, prenatal diagnosis, and outcome of posterior placenta accreta spectrum disorders in patients with placenta previa or low-lying placenta: A multicenter study. Acta Obstet Gynecol Scand. 2025; 104(7): 1328-1338. doi: 10.1111/aogs.15132
15. Jansen CHJR, Kastelein AW, Kleinrouweler CE, Van Leeuwen E, De Jong KH, Pajkrt E, Van Noorden CJF. Development of placental abnormalities in location and anatomy. Acta Obstet Gynecol Scand. 2020; 99(8): 983‐993. doi: 10.1111/aogs.13834